Laserfiche WebLink
SJLHD - UNDER99. " 1,ND TANK CLOSURE/ A$ANDONMENrr' INSPECTION <br /> ( SHADED AREA BE FILLED IN FOR THE FIR 'ANK ONLY ) <br /> II <br /> G OWNERNAMEOWNER PHONE # <br /> E <br /> N CONTRACTOR CON . PHONE # {{ <br /> E ti SG AJC- II <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # l <br /> L I. <br /> INSPECTOR FDATE a 25 TANK # 39 <br /> ) METHOD RINSE AMOUNT <br /> R RINSED ( Y6 <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # - OR - OTHER <br /> V VAPORS PURGED ( Y N ) METHOD ( AMOUNT USED �b <br /> A <br /> P L . E . L . READING AT REMOVAL ( MUST BE < 20 % ) <br /> 0 _ <br /> T R COMMENTS <br /> AI �� Gyju.cni <br /> N TANK MATERIAL ( STEEL , FIBERGLASS , OTHER ) TANK SIZE _ <br /> K C <br /> / 0 TANK CONDITION ( GOOD , POOR , HOLES olZ <br /> P N <br /> I S PIPE MATERIAL ( STEEL , FIBERGLASS , OTHER ) # FEET <br /> P T <br /> I PIPING CONDITION ( GOOD , POOR , HOLES ) i <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T _ <br /> F A <br /> I N <br /> E K <br /> D EXCAVATION SIZE : X X 2L YDS OF SOIL : S )t L �clu aS <br /> m <br /> S <br /> I A DEPTH SO L TYPE OBSERVATION SAILE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G . W . : FT SAMPLING METHOD <br /> N 2 — <br /> 0 # OF HOURS SINCE DEWATERING : <br /> 0 OTHER SAMPLE : <br /> LABORATORY : SAMPLERS NAME : <br /> CLOSURE IN PLACE MIXTURE : VOLUME : <br /> DRAW SITE MAP ON REVERSE <br />